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Developing lifestyle intervention program for pre-hypertensive patients; consensus building using a modified Delphi

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Summary

This study developed a lifestyle intervention program (LSIP) for prehypertension using a consensus approach. The LSIP includes educational, dietary, and exercise recommendations for early intervention and improved health outcomes.

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Area of Science:

  • Cardiovascular Health
  • Preventive Medicine
  • Public Health

Background:

  • Prehypertension signifies a preclinical stage of hypertension, escalating risks for cardiovascular diseases and target organ damage.
  • Early lifestyle interventions are critical for mitigating prehypertension's adverse effects and enhancing long-term health.
  • Developing a structured lifestyle intervention program (LSIP) is essential for effective prehypertension management.

Purpose of the Study:

  • To develop a comprehensive lifestyle intervention program (LSIP) for prehypertension management.
  • To utilize a consensus-building approach involving patients and healthcare professionals.
  • To create a holistic program integrating educational, dietary, and exercise components.

Main Methods:

  • A three-round online modified Delphi study was conducted with 70 panellists (patients and professionals).
  • Initial recommendations were rated on a 5-point Likert scale, with opportunities for additional suggestions.
  • Consensus was defined as at least 70% of respondents rating items as 'Important' or 'Very Important' in Round 3.

Main Results:

  • Fifty-one panellists completed the study, with 35 recommendations reaching consensus.
  • The final LSIP comprised 15 educational, 10 dietary, and 10 exercise recommendations.
  • A significant number of new items were added and refined across the Delphi rounds.

Conclusions:

  • A comprehensive LSIP for prehypertension was successfully developed using a consensus-building approach.
  • This program offers a holistic, scalable model for early intervention, addressing gaps in current standards of care.
  • The LSIP aims to reduce medication reliance and improve long-term health outcomes for the general population.